Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PS003719L | PA |
Y | 103T00000X | Psychologist | PS003719L | PA |
NPI | 1003039165 |
---|---|
Provider Name | Dr. David Milton Weinberger |
First Address | Kingston, PA 18704-4641 |
Second Address | Kingston, PA 18704-4641 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 08/07/2007 |